Concierge medicine is not only a step backward, but it is also a move toward an unequal, two-tier system. Ms. Chapin criticizes Kaiser Permanente as different from and lacking the benefits of those earlier elegant models; in fact, Kaiser is the archetype.

Kaiser Permanente’s model is often heralded as focused on prevention and delivering the right care at the right time. Incentives are correctly aligned to help patients get and stay healthy, with care and coverage typically more affordable than elsewhere.

Our Permanente physician-led clinical teams constantly innovate to create integrated, person-centered and technology-supported care. The results are clear: Kaiser Permanente is first in more categories of care effectiveness than any other commercial health plan.